Phillip Andrew Waterman Jr
ExpiredCalifornia license 29520
License
- Licensed by
- Dental Board of California
- License number
- 29520
- Status
- Expired (Delinquent)
- First issued
- October 16, 1980
- Expired
- April 30, 2023
- License holder
- Phillip Andrew Waterman Jr
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3748 Montgomery Drive
Santa Rosa, CA 95405
Santa Rosa, CA 95405
Sonoma County